Indentation test of soft tissues with curved substrates: A finite element study M. H. Lu Y . P . Zheng Rehabilitation Engineering Center, The Hong Kong Polytechnic University, Hong Kong, China Abstract--Indentation is a c o m m o n l y used approach to measure the mechanical properties of soft tissues, such as articular cartilage and limb tissues. The Young's modulus of tissue can be calculated from the indentation test using a mechanical model, where the soft tissue is normally assumed to have a flat substrate. In this study, a series of 2D finite element models were established to investigate the effects of bones with various curvatures embedded in the soft tissues during an indentation test. For each curvature of the hard substrate, the errors in the calculation of the Young's modulus were estimated for different indentation depths (0-10%) and aspect ratios a/ h of the indenter diameter and the tissue thickness (0.2-2 in seven steps). The radius ratio a/R of the indenter and the curved substrate ranged from 0 to 0.38 in nine steps. Results showed that the error in calculation of the Young's modulus increased by 21.2% when the curvature a/R of the bone increased from 0 to 0.38 (under the condition of a / h - 1.0, Poisson's ratio v - 0.45). The error increased from 6.0 to 18.2% when the tissue thickness increased from 0.2 to 2 (a/R-0.18, v - 0.45). It was found that the error in the Young's modulus calculation caused by the curved hard substrates could be corrected by a single factor for different indentation depths. This factor depends on the Poisson's ratio, the aspect ratio a/h and the radius ratio a/R. Keywords--lndentation, Ultrasound indentation, Soft tissue assessment, Finite element analysis, Limb tissues, Residual limbs Med. Biol. Eng. Comput., 2004, 42, 535--540 \ J 1 Introduction INDENTATIONIS a commonly used approach to measure nondestructively the mechanical properties, especially stiffness, of soft tissues. During recent decades, it has been widely used for the assessment of articular cartilage, which is a thin tissue layer covering the joint bone. With the stimulation of this application, various models for the indentation on a thin layer of tissue with a flat supporting surface have been developed. A theoretical solution to the problem of axisymmetric indentation was reported (HAYES et al., 1972), where the articular cartilage bonded to the subchondral bone was modelled as a homogeneous, isotropic and linearly elastic layer bonded to a rigid half-space (Fig. 1). The Young's modulus E of the cartilage can be calculated by the derived equation E = (1 - - V2) f 2atc(v, a/h) "w (1) where P is the indentation force, v is the Poisson's ratio, w is the indentation depth, a is the radius of the indentor, h is the Correspondence should be addressed to Dr Yongping Zheng; emaih rczheng@polyu.edu.hk Paper received 28 October 2003 and in final form 19 March 2004 MBEC online number: 20043899 © IFMBE: 2004 Medical & Biological Engineering & Computing 2004, Vol. 42 thickness of the test tissue, and ~c is a geometry and materialdependent factor. Values of tc have been solved for different values of the aspect ratio a/h (ranging from 0.2 to 2) and Poisson's ratio v (ranging from 0 to 0.5) (HAYES et al., 1972; JURVELINet al., 1990). These results have been widely used as a theoretical background in the measurement of the mechanical properties of articular cartilage. A new mathematical method was reported to study the indentation problem of a tissue layer overlaid on a rigid foundation (SAKAMOTO et al., 1996). Closed-form solutions of the function ~cwere obtained through an infinite series. However, in the investigations mentioned above, the indentation depth was assumed to be very small, and the effects of the curved substrate geometry were neglected. This is not true for most of the experimental studies. The influence of a large deformation on the calculation of the Young's modulus from the rigid, cylindrical, flat-ended indentation test of soft tissues was studied using finite element analysis (ZHANG et al., 1997). A new set of ~c values was reported for the calculation of Young's modulus to account for the effects of large deformation. GALBRAITH and BRYANT (1989) studied the effect of model geometry and deformable substrate of articular surface using a linear elastic finite element model. They indicated that the results of the indentation analysis were unaffected if the radius of the tissue was at least three times the radius of the indenter, and if the thickness of the deformable substrate 535 force force ? 2 3L~ softtissue t h 1 Fig 3 Fig 1 Schematic diagram o f indentation problem including rigid, flat-ended cylindrical indentor and soft-tissue layer bonded with rigid flat substrate, wherea is" radius" o f indento~ h is" thickness of test tissue, and w is" indentation depth. There was no friction between indentor and tissue surface was at least 16 times the tissue thickness. However, they did not study the effects of curved rigid substrates for the indentation tests. In addition to articular cartilage, the Hayes indentation model has also been widely used for the measurement of the mechanical properties of limb tissue (ZHEN6 et al., 2001), postirradiation neck fibroid tissue (Ltmy6 et al., 2002), plantar foot tissue and other soft tissues (ZHEN6 et al., 2000; KLAESNERet al., 2002). The development of ultrasound indentation approaches has made the Hayes model more acceptable, as the tissue thickness can be obtained non-destructively during the indentation test and used to calculate correct ~ values (ZHEN6 and MAK, 1996; ZHEN6 and MAK 1999; SUN et al., 2001; LAASANEN et al., 2002; HAN et al., 2003). In the ultrasound indentation, an ultrasound transducer is used as the indentor and, at the sametime, to measure the tissue thickness and indentation depth. The influences of indentor misalignment, indentation rate and muscular contraction on the calculation of Young's modulus have been previously investigated (ZHENG et al., 1999). BOSBOOM et al. (2001) and OOMENS et al. (2003) constructed 3D models of indented soft tissues overlying bony prominences, representing realistic bone-tissue geometries, to study the mechanical properties of skeletal muscles. However, the effects on the indentation responses of those bones embedded in the soft tissue have not been quantitatively assessed yet. In this study, we investigated this issue using finite element analysis so as to understand how large errors could be caused in calculation of the Young's modulus if the indentation model for the flat substrate is used for the indentation test for the curved ~h r substrate; study these errors and find potential approaches to correct them. 2 Methods A series of axisymmetrical 2-D finite element models were established using ABAQUS (Version 6.2, Hibbitt, Karlsson & Sorensen, inc, US). The models included a rigid, flat-ended, cylindrical indentor, a soft tissue layer and a rigid object with various curvatures mimicking different sizes of bones as shown in Fig. 2. The soft tissue was assumed to be homogeneous and isotropic and adhered to the rigid bony foundation. The soft tissue was assumed to be linearly elastic. A typical Young's modulus of 60 kPa (ZHENGet al., 2001) was assigned for the soft tissues, and a Poisson's ratio of 0.45 was used considering the nearly incompressible feature of soft tissues under a rapid indentation (ZHENG et al., 2001). The Young's moduli of the bone and the indentor were assigned to be 17 GPa and 100 GPa, and Poisson's ratio of 0.3 and 0.4, respectively (FUNs, 1993; force q indentor(a=4.5mm) h=11.25mm ~ , ~ force softtissue Finite element mesh for axisymmetric indentation problem including rigid flat-ended cylindrical indentor and soft-tissue layer bonded with rigid flat substrate (a/h = 0.4, a = 4.5 mm, h = ll.25mm, where a is" radius o f indento~ and h is" thickhess of test tissue). There was" no friction between indentor and tissue surface tissue Jl t softtissue radius R of bone, Fig 2 Schematic o f indentation problem including rigid flat-ended cylindrical indentor and soft-tissue layer bonded with rigid curved substrate, where a is" radius o f indento~ h is" thickness o f test tissue, and w is" the indentation depth. There was no friction between indentor and tissue surface 536 Fig 4 mm Series" o f indentation models" with curved substrate embedded in tissue. Radius of bone ranged from 54mm to 12mm, i.e. a/R ranged from 0.083 to 0.375 (a/h=0.4, a = 4 . 5 m m , h = ll.25mm, where a is radius ofindento~ andh is" thickness of test tissue) where R is" radius" o f substrate bone Medical & Biological Engineering & Computing 2004, Vol. 42 Table l Comparison o f ~: values calculated by present model and those reported by HArEs et al. (1972) and ZHANG et al. (1997) (where a is radius o f indento~ h is the thickness o f test tissue, and w is indentation depth) a/h 0.2 0.4 0.6 0.8 w/h, % 1.0 2.0 1.5 ~: 0 HAYES et al. (1972) 0.1 ZHANG et al. (1997) present model 1.0 ZHANG et al. (1997) present model 5.0 ZHANG et al. (1997) present model 10.0 ZHANG et al. (1997) present model 1.252 1.599 2.031 2.532 3.085 4.638 6.380 1.233 1.246 1.625 1.601 2.035 2.038 2.496 2.545 3.064 3.106 4.734 4.693 6.478 6.478 1.240 1.245 1.632 1.606 2.048 2.051 2.520 2.568 3.090 3.137 4.785 4.749 6.550 6.558 1.267 1.225 1.666 1.621 2.108 2.093 2.621 2.644 3.213 3.250 5.026 4.958 6.893 6.874 1.304 1.218 1.706 1.640 2.181 2.146 2.751 2.739 3.362 3.392 5.317 5.219 7.307 7.269 ZHANG et eL, 1997). The large deformation effect was considered and no friction between the indentor and the tissue surface was assigned. A concentrated force was applied at the center of the upper surface o f the indentor to simulate the indentation. The indentation depth under an assigned force was calculated using the finite element analysis. By a given Poisson's ratio, the Young's modulus o f the soft tissue was calculated using equation (1). The geometry and material-dependent factor ~ in equation (1) changes with the aspect ratio e / h , the Poisson's ratio v and the relative deformation o f the tissue w / h (HAYES et el., 1972; ZHANG et el., 1997). To use the proper ~ in the calculation o f the Young's modulus in equation (1) for large deformation correction, a finite element model with a flat substrate was firstly established (Fig. 1). According to the tissue ultrasound palpation system used in measuring the Young's moduli of soft tissues, the radius o f the indentor was assigned as 4.5 m m (ZHENG et el., 1999). A typical range o f tissue thickness o f 2.25-22.5 m m was studied (with the aspect ratio e / h ranging from 0.2 to 2 for each case). When finite element analysis is used, grid density is an important consideration in determining the solution accuracy. According to the selection criteria reported by ZHANG et el. (1997), a grid o f 0.5 x 0.5 m m 2 was selected for the simulation (Fig. 3) after comparison of the performances of grids o f 0.3 x 0 . 3 m m 2, 0.5 x 0 . 5 m m 2 and 1.5 x 1.5mm 2. To validate the finite element model, a series o f calculations for ~ were carried out for different indentation depths. These data for were used to calculate the Young's modulus o f the tissue bonded to the curved foundation. To study the effects o f different curvatures o f bones embedded in the limb tissues, the diameter o f the curved rigid inclusion was selected to change from 54 to 12 m m in eight steps, i.e. e / R ranged from 0.083 to 0.375 (Fig. 4). Different mesh solutions were tried by changing the grid density, grid shape and solution algorithm in ABAQUS. After comparing different meshing approaches for the calculation time, partition complexity and maximum deformation that could be modelled, we selected the mesh with a 0.5 x 0.5 m m 2 grid, a quadraticstructured shape for the indentor and the upper 20% o f the tissue and a quadratic, free-advancing front shape for the lower 80% o f the tissue and bone. All the meshed models were checked and verified by the functions provided by ABAQUS. For the simtflation process, different increment steps were tried to find whether more steps could increase the accuracy o f the result analysis. For the indentation with a small deformation, a small increment was used for the simulation (for w / h = 1%, ten Medical & Biological Engineering & Computing 2004, Vol. 42 increment steps), whereas, for a large deformation, a relatively larger increment was assigned (for w / h = 10%, 50 increment steps). For each curvature of the bone, a series o f finite element models were established for the aspect ratio e / h ranging from 0.2 to 2. For each simulation, the indentation was achieved by assigning the applied force. The Young's modulus of the tissue was calculated using the indentation depth and ~ obtained from the reference model with a flat substrate. 3 Results Table 1 gives a comparison between the ~ values calculated by the model o f the present study and those reported by ZHANG et el. (1997) and HAYES et el. (1972). it was found that, when a small deformation (i.e. w / h = 0.1%) was applied, the ~ values obtained in this study agreed very well with the data reported by HAYES et el. (1972) and ZHANG et el. (1997). When a large deformation (e.g. w / h = 10%) was applied, the ~ values showed a good agreement with the data reported by ZHANG et el. (1997). The maximum difference was within 6%. 58.057.557.056.556.0~_ 55.555.054.5 &.A,.,---A A ~ A----____._A ~ ~ 1'0 1'2 deformation, % Fig 5 Estimated Young's modulus o f tissue (a/h = 0.6, a/R = 0.18, where a is radius o f indento~ h is thickness o f test tissue, and R is radius ofsubstrate bone). Assigned Young's modulus was 60 kPa. (- x -) indicated the results calculated using ~: values given by HAYES et al. (1972), with large deJbrmation effect included," (-&-) indicated the values calculated using tc values obtained for identation with flat substrate, with large deformation effect corrected 537 60- a/R= 0 Fig. 5 shows the difference in the derived Young's modulus for a typical model (a/h = 0.6, a / R = 0.18), before and after the ~c values for the large deformation effect were corrected. When those ~cvalues obtained from the simulation of the indentation on the tissue with the flat substrate were used for this model, the calculated Y o u n g ' s moduli of the tissue kept a nearly constant value, indicating that the effect of large deformation was corrected. However, the calculated Young's moduli decreased when the curvature of the bone increased. For the same aspect ratio a/h of 0.6, the effect of the embedded bone shape was studied, and a typical set of data is shown in Fig. 6. The error of the derived Young's modulus increased significantlywhen the curvature of the bone increased. Such an effect was compared for different aspect ratios a/h and is shown in Fig. 7. it was obvious that the calculation error of the modulus caused by the curved substrate also increased when the aspect ratio increased. Different amounts of error in the extracted modulus could be induced by the curvature of the bone for the thin layer of tissue. For example, when a/h = 2.0, the derived Y o u n g ' s modulus of the test tissue with an embedded bone ( a / R = 0 . 3 8 , i.e. R = 12ram) was 40.8kPa, which was 32% smaller in comparison with the assigned Young's modulus of 60 kPa. The results suggested that a modified set of ~c values should be used in calculating the Young's modulus, using (1) to correct the error caused by the curvature of the rigid inclusion. We proposed another factor 7(v, a/h, a/R) to correct this error (equation (2)). The values of 7 for v = 0.45 are given in Table 2. 58-o o-- o 56- ,-~, ~ - - o [] ~ u ~ -~¢ ~ ~ E 54- 52- -: : -- -o o--o - , , -- '~ ~ o ~ . ~ aiR=0.08 [] ~ . - D ~ ~ aiR=0.11 a/R=0.13 aiR=0.15 ~ ~ a/R=0.18 ~ ~ ~ ~ o ' , ~ a/R=0.23 -~- a/R=0.30 a / R = 0.38 5O ; o ~ & ~ ; } ; ;o ; 1'1 relative deformation w/h, % Fig 6 Effect of curved substrate embedded in soft tissue (a/h = 0.6, where a is" radius" of indento~ and h is" thickness of test tissue). Captions represent ratios of indentor radius and bone curvature. Young's moduli were calculated using ~cvalues obtained with consideration of large deJbrmation effect . 35- ~ ~ a/h=2.0 30E ~o -c~ 2 5 - a / h = 1.5 a / h = 1.0 ~ 20- a/h=0.8 a/h=O.6 15- a / h = 0.4 a / h = 0.2 c lOg {3. (1 - v 2) P E = 2atc(v, a/h, w / h ) . 7(v, a/h, a/R) "w 50 0.05 0.10 0.15 0.20 0.25 0.30 0.35 The error reduction in Young's modulus estimation after application of(2) can be calculated using the following equation (suppose Eo is the Young's modulus before 7 correction, and E 1 is the Y o u n g ' s modulus after 7 correction, then E 1 ----Eo/7): 0.40 a / R (indentor radius/bone radius) Fig 7 (2) A - IE° - -- Ell x 100% = IE°(1 - (1/7))1 x 100% Comparison of errors" of derived Young's moduli of tissues embedded with substrates with diffbrent curvatures" when aspect ratio ranged from 0.2 to 2. Error bars" represent standard deviation of resuhs of seven calculation points" with diffbrent indentation depths (J?om 0.1 to 10%) Eo = Eo 1 - - 1 ×100% 7 (3) Table 2 7 values used to correct error in calculation of Young's modulus caused by curved hard substrate in indentation problem. Poisson's ratio of tissue was assigned as 0. 45 (where a is radius of indento~ h is thickness of test tissue, and R is radius of substrate bone) a/R=O 0.08 0.11 0.13 0.15 0.18 0.23 0.30 0.38 1.00 1.00 1.00 1.00 1.00 1.00 1.00 0.97 0.96 0.96 0.95 0.94 0.92 0.91 0.96 0.95 0.94 0.93 0.92 0.90 0.88 0.96 0.95 0.94 0.92 0.91 0.89 0.86 0.95 0.94 0.93 0.91 0.90 0.87 0.84 0.94 0.93 0.91 0.90 0.88 0.85 0.82 0.93 0.91 0.89 0.88 0.86 0.82 0.78 0.90 0.89 0.87 0.84 0.82 0.77 0.73 0.88 0.87 0.84 0.81 0.79 0.73 0.68 a/h = 0.2 0.4 0.6 0.8 1.0 1.5 2.0 Table 3 Pereentage error reduction in Young's modulus after 7 correction is applied (where a is radius of indento~ h is thickness of test tissue, and R is radius of substrate bone) a/h = 0.2 0.4 0.6 0.8 1.0 1.5 2.0 538 aiR = 0 0.08 0.11 0.13 0.15 0.18 0.23 0.30 0.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.06 3.76 4.44 5.41 6.16 8.12 10.07 3.94 5.14 6.07 7.28 8.26 11.10 13.77 4.71 5.67 6.89 8.26 9.33 12.71 15.68 5.42 6.72 7.99 9.50 11.09 14.81 18.36 6.39 7.97 9.51 11.35 13.27 17.79 22.23 8.03 9.74 11.74 14.12 16.44 22.19 27.87 10.99 12.67 15.39 18.65 21.61 29.68 37.41 13.96 15.60 18.92 22.85 26.88 36.99 47.02 Medical & Biological Engineering & Computing 2004, Vol. 42 Table 3 summarises the error reduction in Young's modulus after 7 correction is applied. 4 Discussion in this study, we investigated the effects of the curved substrate on the indentation response of a soft-tissue layer using finite element analyses. A series of 2D finite element models were established to mimic bones of different sizes embedded in the soft tissues. When a traditional indentation model derived for a flat substrate (HAYESe t al., 1972) was used to calculate the Young's modulus from the indentation response of these models, errors could be induced. These errors were found to be independent of the indentation depths after the large deformation efforts were corrected (ZHANGe t al., 1997). Results also showed that the error in calculating the Young's modulus increased when the curvature of the bone increased and when the tissue thickness decreased for a certain curvature. A modified version of the Hayes indentation equation was proposed to include a factor to correct the error caused by the curved substrate. This factor depends on the Poisson's ratio v of the tissue, the radius ratio a/R of the indentor and the curved substrate, and the aspect ratio a/h of the indentor radius and the tissue thickness. Corrections for the errors induced by the curved substrate can be made using the proposed method, together with the estimation of the bone curvature using some topography-imaging methods, such as CT, B-mode ultrasound, MRI etc. Measurement of the tissue thickness can be achieved using A-mode ultrasound (ZHENGe t al., 1996; HAN et al., 2003; SUH et al., 2001; LAASANENet al., 2003). In this study, a Poisson's ratio of 0.45 was assigned for the soft tissue, assuming it is nearly incompressible under a rapid indentation (HAYES et al., 1972; ZHENG et al., 2001; LAASANEN et al., 2002). To obtain the Poisson's ratio of the tissue in vivo has been an engineering challenge for many years. Most recently, attempts have been made to measure the Poisson's ratio of tissue non-destructively, using ultrasound elastography (RIGHETTI et al., 2004). if this technique can be successfully used in vivo, ultrasound imaging will be able to measure both the bone curvature and the Poisson's ratio of the soft tissue. When the tested materials have other values of Poisson's ratio, the correction factors for the effects of the curved substrate have to be re-calculated. A more comprehensive set of factors is being established and can be used in other areas using indentation techniques. We plan to construct a comprehensive set of ~c values for the indentation problem with curved substrate, by including the effects of the Poisson's ratio v, the aspect ratio a/h, the radius radio a/R and the relative deformation w/h. The 2D finite element model used in this study could be improved so that it better simulated the limb tissues embedded with bones, as the bones are normally not axisymmetric in the indentation area. in addition, the curved surface of the limb tissue could also be modelled in the future. As suggested by the results of this study, using a small indentor may reduce the effects of the curved surfaces, as long as it does not cause pain to the subjects (ZHENGe t al., 1999). Furthermore, limb tissues are complex in their anatomical structures and can contain biological tissues with different biomechanical characteristics, such as tendon, muscle and skin. The two-dimensional homogeneous models used in this study are not enough to describe these complex structures and mechanical properties. investigations into modelling realistic bone geometry using 3D models have been reported in the literature (VANNAHand CHILDRESS,1996; BOSBOOMet al., 2001 ; OOMENSet al., 2003). However, in most of the experimental indentation studies of limb soft tissues, the tissues were generally simplified to be homogeneous and isotropic, and the overall mechanical properties Medical & Biological Engineering & Computing 2004, Vol. 42 were studied. The material properties extracted were quantified values representing overall tissue stiffness. In spite of these assumptions, the indentation test is an improved approach for tissue assessment in comparison with manual palpation, which can only give a subjective qualitative judgment for the tissue stiffness. As a first step, we investigated the effects of the bony curvatures by assuming that the soft tissues were homogeneous and isotropic. The limitation of such simplification is that we cannot predict the effect of the inhomogeneity and anisotropy of the tissues on the loadindentation relationship, if we want to take the tissue inhomogeneity and anisotropy into account, 2D indentation models are not enough and more realistic 3D models are required. This study has not addressed the non-linear and visco-elastic properties of soft tissues. Hence, the effect of non-linear and visco-elastic properties on the calculated results is uncertain. in spite of the fact that soft tissues are non-linear and viscoelastic, in most of the experimental indentation studies reported in the literature, linear elastic models have been commonly used to simplify the problem, so as to obtain a single 'effective' modulus of the soft tissues. This single material parameter represents the average tissue stiffness under different deformations. Hence, as a first step, we assumed that the soft tissues were linear elastic in our models. The limitation of such a simplification is that we cannot predict the effect of the non-linearity of the tissues on the load-indentation relationship. Future studies to address the effects of non-linear visco-elasticity, together with those of inhomogeneity and anisotropy, should follow. Another possible error source in our simulation is the 'offaxis' position of the indentor relative to the curved bony substrate, in such conditions, the curved substrates might act more as an inclined plane. Furthermore, if the bone is severely off-centre relative to the indentor, there can be bulk tissue displacement rather than tissue deformation. Subsequently, severe errors can be introduced in to the estimation of indentation deformation w. As a further step, we plan to use real surface and internal geometries of limb tissues, obtained using CT, MRI or 3D ultrasound approaches, to establish 3D finite element indentation models to study the effects of the curved surface and substrate, together with the effects when the indentor is 'off-axis' relative to the curved substrate. A number of authors have reported alternative ways to extract tissue material properties from indentation responses directly using finite element analyses. REYNOLDS (1988) estimated the Young's modulus by matching experimental load-indentation curves with the predictions obtained using finite element modelling of an indentation into an assumed infinite tissue layer with idealised material properties. However, the effect of curved substrates was not investigated in that study. Other investigators used finite element models of limbs embedded with bones (originally designed for studying the interaction between the socket and the residual limb) to generate reference load-indentation responses (STEEGE,1987; SILVER-THORN, 1991; 2003; VANNAH and CHILDRESS,1996) The effects of a curved substrate on the indentation responses have been inherently included in the calculation. In the case of complicated geometry and boundary conditions, the direct finite element method may be a good way to extract the tissue properties from indentation responses. The relatively long time required to establish the finite element model for the individual testing object could be a drawback of such computational methods. Acknowledgments" This project was partially supported by the Research Grant Council of Hong Kong (PolyU5199/02E and PolyU 5245/03E) and The Hong Kong Polytechnic University. 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(2000): 'Biomechanical assessment of plantar foot tissue in diabetic patients using an ultrasound indentation system', Ultrasound Med. Biol., 26, pp. 451-456 ZHENG, Y. R, MAN, A. E T., and LUENG, A. K. L. (2001): 'Stateof-the-art methods for geometric and biomechanical assessment of residual limbs: A review', J. Rehabil. Res. Dev., 38, pp. 487-504 Authors" biographies MINHUA LU received her BSc in electronic engineering and information science in 2001 from the University of Science and Technology of China (USTC). She is currently a PhD student of the Rehabilitation Engineering Center (REC) in the Hong Kong Polytechnic University. Her research interests axe in ultrasound measurement and imaging of tissue mechanical properties. YONGPING ZHENG obtained his BSc in electronics and information engineering and his MSc in ultrasound instrumentation from the University of Science and Technology of China (USTC). He completed his PhD in biomedical engineering at the Hong Kong Polytechnic University in 1997. After spending one year of his postdoctoral fellowship in acoustic microscope and nonlinear acoustics at the University of Windor, Canada, Dr. Zheng joined the Rehabilitation Engineering Center (REC), initially as a postdoctoral fellow and then, in 2001, as am Assistant Professor. His current research interests include ultrasound elastic measurement and imaging, ultrasound biomicroscopy, elastomicroscopy, 3D ultrasound imaging of musculoskeletal tissues, sonomyography, and ultrasonic assessment of articular cartilage. Medical & Biological Engineering & Computing 2004, Vol. 42